Nycers forms

NYCERS USE ONLY F137 > If you need assistance completing this form please contact NYCERS at 347-643-3000. > Complete the Designation of Guardian form in ink or type. Except for signature, please print all items. > At the top of the form, print your Membership #, last 4 digits of Social Security #, Date of Birth, name and complete address.

When you start receiving a pension from NYCERS, you may be eligible for City-paid health insurance benefits. Health benefits are not offered or administered by NYCERS. ... Forms and Correspondence Mailing Address Mail your completed form or correspondence to: 30-30 47th Avenue, 10th Floor Long Island City, NY 11101 Read more;Forms, Brocres, Fact Seets at Taxation of Payments ... Once you are retired, if you choose to change the amount of your withholdings please obtain and submit NYCERS Form #349 (Application to Change Federal Income Tax Withholding), which is available on our website, in our Customer Service Center or through our Call Center. ...Birth Evidence AffidavitForm #205. Submit this affidavit if you are unable to produce a birth certificate or any of the birthdate evidence documents accepted by NYCERS but can submit three alternative birth records. For a list of acceptable birthdate evidence, see NYCERS’ Birthdate Evidence Alternatives Fact Sheet #709.Birth Evidence AffidavitForm #205. Submit this affidavit if you are unable to produce a birth certificate or any of the birthdate evidence documents accepted by NYCERS but can submit three alternative birth records. For a list of acceptable birthdate evidence, see NYCERS’ Birthdate Evidence Alternatives Fact Sheet #709.Your Tier is generally determined by your title and the date you joined NYCERS, as follows: Tier 1 – Members who joined NYCERS prior to July 1, 1973. Tier 2 – Members who joined NYCERS between July 1, 1973 and July 26, 1976, and DA Investigators who joined NYCERS between July 1, 1973 and March 31, 2012. Tier 3 – Correction Officers who ...Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 I understand that by signing this form, I am confirming that the information on this form, to the best of my knowledge, is correct. NYCERS USE ONLY F181 Member Number Last 4 Digits of SSN Page 2 of 2 Sign this form and have it notarized, THIS PAGECustomer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.

Find forms and publications for NYCERS members and retirees, including plan descriptions, brochures, fact sheets, and retirement kits. Learn how to apply for service or disability retirement, access your MyNYCERS account, and review NYCERS' financial reports.Learn about the different pension plans for NYC employees, including NYCERS, which covers most civilian employees. Find links to each plan's website and contact information.day after your last day on payroll will be your retirement date – that is the date you should put on your NYCERS service retirement application form – Form #511 for Tier 1 members, and Form #521 for Tiers 2, 3, 4 and 6 members. The usage of leave balances can also affect your retirement date. Most non-managerial employees remain on payroll ... WWW.NYCERS.ORG NYCERS MY NYCERS ˜˚˛˝˙ˆˇ˘ ˚˙˙ ˝ ˙ ˙ˆ˙˜ ˝ ˚ ˙ˆ Step 4 on next page... 340 Jay Street, Bklyn, NY Mezzanine level 30-30 47th Avenue, 10th Fl. Long Island City, NY 11101 Upload Documents at www.mynycers.org (347) 643-3000 www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at You may drop off your notarized Loan Application Form #302 in person at NYCERS’ Walk-in Center at 340 Jay Street, Brooklyn, NY 11201. Repayment The current interest rate on a Tier 3, 4 and 6 loan is 6.2% – 6% basic interest rate plus 0.2% mandatory loan insurance premium. All loans except non-performing loans are fully insured 30 dayswww.nycers.org M - F, am to pm Forms, Brochures, Fact Sheets at NYCERS USE ONLY F521 R01/23 Page 2 of 4 Member Number Last 4 Digits of SSN If this beneficiary is under the age of 21, you have the option to name a guardian of the property of the minor by checking this box and completing Form #137.

Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.In order to begin the process of identifying the decedent and their beneficiaries, and determining the death benefits payable, NYCERS will need some general information, including the decedent’s: Full name. Member number or pension number. Last four digits of their Social Security Number. Date of death. Place of death (City/State/Country ...R12/16. Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101. *310*. F310. Page 1 of 2 NYCERS USE ONLY. First Name M.I. Last Name City State Zip Code Address Apt. Number. Request for Change to Recent Loan Application Tier 3, Tier 4 and Tier 6 Basic and Special Plan Members.Crunches are the classic ab exercise (although planks and push-ups have their fans too). To really target your abs, though, it’s important to use good form. Crunches are the classi...30-30 47th Avenue, 10th Fl Long Island City, NY 11101. Member Number OR. Pension Number. Last 4 Digits of SSN. If the foregoing Primary beneficiary(ies) should predecease me, I hereby nominate the following as Contingent beneficiary(ies) for the above Post-Retirement Lump-Sum Death Benefit. First Name. M.I.Mail completed Disability Applications to NYCERS at 30-30 47th Ave., Suite 1010, Long Island City, NY 11101. ... File NYCERS WTC Notice of Participation Form #622 by ...

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Article 14-B Disability Retirement Application. For county sheriffs, undersheriffs and certain deputy sheriffs whose employers elected coverage under Sections 555, 556, 557 or 558 of the Retirement & Social Security Law (RSSL). This is a two-page form and a HIPAA waiver. Please submit all three pages. WWW.NYCERS.ORG NYCERS MY NYCERS ˜˚˛˝˙ˆˇ˘ ˚˙˙ ˝ ˙ ˙ˆ˙˜ ˝ ˚ ˙ˆ Step 4 on next page... 340 Jay Street, Bklyn, NY Mezzanine level 30-30 47th Avenue, 10th Fl. Long Island City, NY 11101 Upload Documents at www.mynycers.org (347) 643-3000 www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at Jul 1, 2020 · Mail completed form to: 30-30 47th Avenue,10th Fl Long Island City, NY11101 *302* F302 Page 1 of 4 NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number If you have an official seal, affix it Signature of Notary Public or Commissioner of Deeds Official Title Expiration Date of Commission Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 *238* F238 Page 1 of 1 NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number Signature of Member Date Request to Cancel Application For The Purchase of Pre-Member or Military Service Member Number Last 4 Digits of SSN Home Phone Number Work ...Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free30-30 47th Avenue, 10th Fl Long Island City, NY 11101. Application for Transfer of Member’s Accumulated Salary Deductions to Another Retirement System Within New York State. Member Number Last 4 Digits of SSN. NOTE: If the address you provide on this form is different from your address in our system, the new address will become your official ...

Dec 27, 2023 · File for Service Retirement online: When you are ready to file, NYCERS strongly encourages you to make an appointment for a telephone consultation with a NYCERS retirement counselor, and to file for Service Retirement online through your secure MyNYCERS account at www.mynycers.org. Paper forms can be found here: Service Retirement. Login / Register. Login / RegisterView, download and print F501 - Designation Of Beneficiary(ies) Post-retirement Lump-sum Death Benefit pdf template or form online. 12 Nycers Forms And Templates are collected for any of your needs.Dec 27, 2023 · Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments. For NYCERS members who are eligible for membership in the NYC Teachers Retirement System and elect to remain a member of NYCERS as a Transferred Contributor. ... Forms and Correspondence Mailing Address Mail your completed form or correspondence to: 30-30 47th Avenue, 10th Floor Long Island City, NY 11101Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.Please have your Member or Pension number ready when contacting NYCERS’ Call Center. Due to increased call volume, you may experience longer wait times, and voicemails may be returned after hours. (347) 643-3000 – Call Center. (877) 669-2377 – If calling from outside the New York City area (toll-free) (347) 643-3501 – TTY (hearing impaired) WWW.NYCERS.ORG NYCERS MY NYCERS ˜˚˛˝˙ˆˇ˘ ˚˙˙ ˝ ˙ ˙ˆ˙˜ ˝ ˚ ˙ˆ Step 4 on next page... 340 Jay Street, Bklyn, NY Mezzanine level 30-30 47th Avenue, 10th Fl. Long Island City, NY 11101 Upload Documents at www.mynycers.org (347) 643-3000 www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at

Apply Online. Form 134. Designation of Primary and Contingent Beneficiary – Tier 3, Tier 4, and Tier 6. Form #134 is temporarily unavailable. To make changes to your beneficiaries or their designated guardians, log in to your MyNYCERS account and look for “Manage Beneficiaries” in the menu. If you are new to MyNYCERS, register for ...

forms online and manage their NYCERS account. Registration instructions are provided on the website. For members who registered before April 2020, a one-time re-registration is required. Terry Members and retirees may chat online with Terry, NYCERS’ Digital Agent, via the MyNYCERS portal at www.nycers.org. Call CenterComplete this form in its entirety, sign it, and mail it to NYCERS, 30-30 47th Avenue, 10th Floor, Long Island City, NY 11101. If you wish to file this form in person, visit NYCERS’ Customer Service Center on the Mezzanine level of 340 Jay Street in downtown Brooklyn. Sign this form and have it notarized, THIS PAGE62/5 Retirement Plan for Tier 4 MembersBrochure #946. The 62/5 Retirement Plan, also referred to as the Basic Tier 4 Plan, allows participants to retire with a full pension at age 62 with at least five years of Credited Service, or with a reduced pension between the ages of 55 and 61. Download PDF. Fact Sheet 754.Small business tax deadlines may not roll around until Feb. 1, 2021. But it’s never too soon to brush up on these 1099 tips. Tax deadlines may not roll around until Feb. 1, 2021. B...Find forms and publications for NYCERS members and retirees, including plan descriptions, brochures, fact sheets, and retirement kits. Learn how to apply for …www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at Mail Completed Forms to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 NYCERS USE ONLY F204 R /22 Page 2 of 8 Member Number Pension Number Last 4 SSN PRINCIPAL - Sign this form and have it notarized, Page 562/5 Retirement Plan for Tier 4 MembersBrochure #946. The 62/5 Retirement Plan, also referred to as the Basic Tier 4 Plan, allows participants to retire with a full pension at age 62 with at least five years of Credited Service, or with a reduced pension between the ages of 55 and 61. Download PDF. Fact Sheet 754.NYCERS’ records. Should you have any questions regarding this application, please contact NYCERS’ Call Center at 347-643-3000. *103* Application for Membership. For NYCERS-Eligible Employees . Sign this form and have it notarized, Page 3. Social Security Number Date of Birth [MM/DD/YYYY] In Care of (if applicable) Daytime Phone NumberNYCERS USE ONLY F133 INSTRUCTIONS FOR COMPLETING THIS FORM > If you need assistance completing this form please contact NYCERS at 347-643-3000. > Complete this form in ink or type. Except for signature, please print all items. > At the top of this form, print your Membership #, Social Security #, Date of Birth, name, and complete …address you provide on this form is different from your address in NYCERS' system, the new address will become your official address in NYCERS' records. If you have any questions regarding this form, please contact NYCERS' Call Center at 347-643-3000. TYPE OF CHECK(S) LOST (please check all applicable boxes from Section A and/or …

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R12/16. Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101. *310*. F310. Page 1 of 2 NYCERS USE ONLY. First Name M.I. Last Name City State Zip Code Address Apt. Number. Request for Change to Recent Loan Application Tier 3, Tier 4 and Tier 6 Basic and Special Plan Members.www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at How to Join NYCERS Fact Sheet #754 How to Join NYCERS March 2021 NYCERS ˜˚˛˝˙ˆˇ˘ ˚˙˙ ˝ ˙ ˙ˆ˙˜ ˝ ˚ ˙ˆ Join NYCERS Online It’s easy to join NYCERS online using your smartphone, laptop or tablet. Simply follow the step-by-step instructions below:Dec 27, 2023 · Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments. Forms rocures Fact Seets at M C F 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 About This Form This form is for NYCERS Retirees and Beneficiaries who wish to change the amount of Federal income tax withheld from their monthly pension payments. NYCERS cannot counsel you on tax matters. If you need assistance in determining which taxFilling out this form and submitting it to NYCERS authorizes: 1. The Office of the Comptroller of the City of New York, on behalf of the New York City Employees' Retirement System (NYCERS) to send my monthly retirement allowance via Electronic Fund Transfer (EFT) to the bank* designated on this form for deposit in my account. 2.Affidavit of Personal Service IncomeForm #351. This form is to be completed annually by all Tier 3, Tier 4 and Tier 6 Disability Retirees to verify your eligibility for continued disability benefits. Find out more about Personal Service Income. Download PDF. Form 354.This form gives the designated beneficiary(ies) of a Tier 2 member who died during active service the opportunity to choose to receive the Ordinary Death Benefit under Section 448 of Retirement and Social Security Law as an annuity, rather than as a lump-sum payment. This form must be filed within 90 days after the date that NYCERS is notified ...Jul 1, 2020 · You may drop off your notarized Loan Application Form #302 in person at NYCERS’ Walk-in Center at 340 Jay Street, Brooklyn, NY 11201. Repayment The current interest rate on a Tier 3, 4 and 6 loan is 6.2% – 6% basic interest rate plus 0.2% mandatory loan insurance premium. All loans except non-performing loans are fully insured 30 days Mail completed form to: 30-30 47th Avenue,10th Fl Long Island City, NY11101 *302* F302 Page 1 of 4 NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number If you have an official seal, affix it Signature of Notary Public or Commissioner of Deeds Official Title Expiration Date of Commission ….

Filling out this form and submitting it to NYCERS authorizes: 1. The Office of the Comptroller of the City of New York, on behalf of the New York City Employees' Retirement System (NYCERS) to send my monthly retirement allowance via Electronic Fund Transfer (EFT) to the bank* designated on this form for deposit in my account. 2.NYCERS’ online loan application enables Tier 4, Tier 6 and eligible Tier 3 members with a registered MyNYCERS account to log in to their accounts, calculate various loan options, and then apply for a loan online. If you apply online and select Direct Deposit (Electronic Funds Transfer, or EFT), your loan will be processed in three (3) business …www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at How to Join NYCERS Fact Sheet #754 How to Join NYCERS March 2021 NYCERS ˜˚˛˝˙ˆˇ˘ ˚˙˙ ˝ ˙ ˙ˆ˙˜ ˝ ˚ ˙ˆ Join NYCERS Online It’s easy to join NYCERS online using your smartphone, laptop or tablet. Simply follow the step-by-step instructions below:Job compensation often includes more than just a salary; it is increasingly common for businesses to offer their employees stock options. If an employee decides to exercise his sto...Application to Purchase Credit for Service Rendered Prior to Membership Date in NYCERS (Buyback)Form #241. Use this application to purchase (buyback) previous full-time or part-time public service rendered within New York State prior to your NYCERS membership. Note: Tier 1 members may only buy back public service …Please have your Member or Pension number ready when contacting NYCERS’ Call Center. Due to increased call volume, you may experience longer wait times, and voicemails may be returned after hours. (347) 643-3000 – Call Center ... Forms and Correspondence Mailing Address Mail your completed form or correspondence to: 30 …1. Do you have a report of an accident occurring to this member on: / / Yes. (Please submit a copy of the employee’s report with this completed form) [MM/DD/YYYY] No (Do not proceed further. Please sign and date this form and return it to NYCERS) If yes, please state where and when the accident occurred: Describe injuries sustained: Describe ...NYCERS has contracted with Giact Systems to provide bank account verification services to enable this online transaction. By using this Online EFT Service and providing your bank account details through the online form, you agree that NYCERS will share your bank account details with Giact Systems for verification and validation purposes only ...Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments. Nycers forms, [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1]